Photoshop smhotoshop! Artist Ophelia Chong makes art the honest-to-goodness way: with some paper, blades and a cup of tea! This one above is called Caterina Cries, inspired by Sposalizio Di Si Caterina by Bernardino Luini (1470-1533) .
Here's a Flickr photoset of her beautiful collages: Link | Ophelia's Blog - via Metafilter